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Ms. Kathy Darlene Thomas, REV
Peer Specialist in Broken Arrow, Oklahoma
NPI 1104356690

Kathy Darlene Thomas is a Peer Specialist based in Broken Arrow, OK. Kathy Darlene Thomas practices in Broken Arrow, OK and has the professional credentials of REV. The NPI Number for Kathy Darlene Thomas is 1104356690 and holds a License No. (Oklahoma).

The current practice location address for Kathy Darlene Thomas is 4408 N 35Th St, Broken Arrow, OK and can be reached out via phone at 918-519-6721 and via fax at 918-940-7411.

Location: 4408 N 35Th St, Broken Arrow, OK, 74014-8845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104356690
Provider Name
Kathy Darlene Thomas
Credential
REV
Provider Entity Type
Individual
Gender
Female
Address
4408 N 35Th St, Broken Arrow, OK, 74014-8845
Phone Number
918-519-6721
Fax Number
918-940-7411
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H082129486 01 OK DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
4408 N 35Th St
City
Broken Arrow
State
Oklahoma
Zip
74014-8845
Phone Number
918-519-6721
Fax Number
918-940-7411
person
Provider Business Mailing Address Details
Address
4408 N 35Th St
City
Broken Arrow
State
Oklahoma
Zip
74014-8845
Phone Number
918-519-6721
Fax Number
918-940-7411
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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